ParkinsonCanadaV1, France, Analysis, bibRecord, 000251

Deep brain stimulation for Parkinson's disease : Surgical technique and perioperative management

Identifieur interne : 000251 ( France/Analysis ); précédent : 000250; suivant : 000252

Deep brain stimulation for Parkinson's disease : Surgical technique and perioperative management

Auteurs : Andre Machado [États-Unis] ; Ali R. Rezai [États-Unis] ; Brian H. Kopell [États-Unis] ; Robert E. Gross [États-Unis] ; Ashwini D. Sharan [États-Unis] ; Alim-Louis Benabid [France]

Source :

Movement disorders [ 0885-3185 ] ; 2006.

RBID : Pascal:06-0363506

Descripteurs français

Pascal (Inist)
- Système nerveux pathologie, Parkinson maladie, Chirurgie, Technique, Périopératoire, Conduite à tenir, Neuromodulation, Stimulation cérébrale profonde.
Wicri :
- topic : Chirurgie.

English descriptors

KwdEn :
- Clinical management, Deep brain stimulation, Nervous system diseases, Neuromodulation, Parkinson disease, Perioperative, Surgery, Technique.

Abstract

Deep brain stimulation (DBS) is a widely accepted therapy for medically refractory Parkinson's disease (PD). Both globus pallidus internus (GPi) and subthalamic nucleus (STN) stimulation are safe and effective in improving the symptoms of PD and reducing dyskinesias. STN DBS is the most commonly performed surgery for PD as compared to GPi DBS. Ventral intermediate nucleus (Vim) DBS is infrequently used as an alternative for tremor predominant PD patients. Patient selection is critical in achieving good outcomes. Differential diagnosis should be emphasized as well as neurological and nonneurological comorbidities. Good response to a levodopa challenge is an important predictor of favorable long-term outcomes. The DBS surgery is typically performed in an awake patient and involves stereotactic frame application, CT/MRI imaging, anatomical targeting, physiological confirmation, and implantation of the DBS lead and pulse generator. Anatomical targeting consists of direct visualization of the target in MR images, formula-derived coordinates based on the anterior and posterior commissures, and reformatted anatomical stereotactic atlases. Physiological verification is achieved most commonly via microelectrode recording followed by implantation of the DBS lead and intraoperative test stimulation to assess benefits and side effects. The various aspects of DBS surgery will be presented.

Affiliations:

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000821
to stream PascalFrancis, to step Curation: 000502
to stream PascalFrancis, to step Checkpoint: 000739
to stream Main, to step Merge: 002C37
to stream Main, to step Curation: 002935
to stream Main, to step Exploration: 002935
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Pascal:06-0363506

Le document en format XML

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<author><name sortKey="Benabid, Alim Louis" sort="Benabid, Alim Louis" uniqKey="Benabid A" first="Alim-Louis" last="Benabid">Alim-Louis Benabid</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clinical management</term>
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<term>Perioperative</term>
<term>Surgery</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term>
<term>Parkinson maladie</term>
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<term>Conduite à tenir</term>
<term>Neuromodulation</term>
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<front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) is a widely accepted therapy for medically refractory Parkinson's disease (PD). Both globus pallidus internus (GPi) and subthalamic nucleus (STN) stimulation are safe and effective in improving the symptoms of PD and reducing dyskinesias. STN DBS is the most commonly performed surgery for PD as compared to GPi DBS. Ventral intermediate nucleus (Vim) DBS is infrequently used as an alternative for tremor predominant PD patients. Patient selection is critical in achieving good outcomes. Differential diagnosis should be emphasized as well as neurological and nonneurological comorbidities. Good response to a levodopa challenge is an important predictor of favorable long-term outcomes. The DBS surgery is typically performed in an awake patient and involves stereotactic frame application, CT/MRI imaging, anatomical targeting, physiological confirmation, and implantation of the DBS lead and pulse generator. Anatomical targeting consists of direct visualization of the target in MR images, formula-derived coordinates based on the anterior and posterior commissures, and reformatted anatomical stereotactic atlases. Physiological verification is achieved most commonly via microelectrode recording followed by implantation of the DBS lead and intraoperative test stimulation to assess benefits and side effects. The various aspects of DBS surgery will be presented.</div>
</front>
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<tree><country name="États-Unis"><region name="Ohio"><name sortKey="Machado, Andre" sort="Machado, Andre" uniqKey="Machado A" first="Andre" last="Machado">Andre Machado</name>
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<name sortKey="Gross, Robert E" sort="Gross, Robert E" uniqKey="Gross R" first="Robert E." last="Gross">Robert E. Gross</name>
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   |texte=   Deep brain stimulation for Parkinson's disease : Surgical technique and perioperative management
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	La maladie de Parkinson au Canada (serveur d'exploration)
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La maladie de Parkinson au Canada (serveur d'exploration)

Deep brain stimulation for Parkinson's disease : Surgical technique and perioperative management

Deep brain stimulation for Parkinson's disease : Surgical technique and perioperative management

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri